Rahul Katyayan

Evidence have shown that dental caries has existed prehistorically. It had been mystery then, it is a mystery today and will be tomorrow too. It is still a most common disease affecting human population. Researches are going to detect & prevent dental caries, assuring teeth to remain in a healthy state and to maintain healthy oral environment throughout the life span of human. In today's world various diagnostic aids are available to diagnose dental caries in its initial stage.

What child is today & what he becomes tomorrow is an amalgamation of his experiences & pathways which he has explored. These have indelible imprints on the direction & meaning of his life.The performance of a painless procedure for the child is one of the key factors in establishing a good relationship with the operator. When the behavioral approach in conjunction with local anesthesia, does not achieve satisfactory control of the pediatric patient's behavior the next step is the pharmacological approach. A safe and commonly used anxiety control technique used for pediatric patients in the dental office is Conscious sedation.

Children with communication disorders have deficits in their ability to exchange information with others. A communication disorder may occur in the realm of language, speech and/or hearing. Language difficulties include spoken language, reading and/or writing difficulties.These children get insulated from social situations that would facilitate higher substance use.Children suffering from hearing impairment show oral manifestation of hypoplastic teeth. Autistic child suffer from oral habits such as bruxism, tongue thrusting. Most common oral manifestation of child with Down syndrome includes fissured tongue, angular cheilitis, delayed eruption of teeth, missing and malformed teeth, microdontia, crowding, malocclusion, poor oral hygiene. A pediatric dentist should not only be aware of the symptoms and problems associated with communication impairment, particularly when it relates to orofacial and dentofacial anomalies but also should know the appropriate dental treatment plan and the required behaviour modification techniques.